NPI: 1881773232 · BLOOMINGDALE, IL 60108 · Federally Qualified Health Center (FQHC) · NPI assigned 11/06/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/06/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,994 | $1.27M |
| 2019 | 70,691 | $2.08M |
| 2020 | 43,999 | $1.93M |
| 2021 | 35,527 | $1.44M |
| 2022 | 25,280 | $358K |
| 2023 | 47,764 | $1.39M |
| 2024 | 15,591 | $782K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 84,605 | 54,257 | $9.21M |
| 90651 | 1,251 | 997 | $18K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 408 | 239 | $15K |
| 90670 | 745 | 560 | $8K | |
| 90734 | 1,085 | 907 | $7K | |
| 90698 | 286 | 219 | $2K | |
| 0011A | 46 | 44 | $2K | |
| 90686 | 4,251 | 3,511 | $2K | |
| 90620 | 111 | 80 | $2K | |
| 0012A | 31 | 30 | $1K | |
| 90633 | 721 | 547 | $1K | |
| 90715 | 1,168 | 893 | $540.90 | |
| 90710 | 64 | 43 | $417.62 | |
| 90680 | 122 | 97 | $326.84 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37,619 | 25,759 | $268.93 |
| 90688 | 241 | 190 | $161.92 | |
| 90744 | 164 | 122 | $137.87 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2,088 | 1,680 | $76.84 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,431 | 4,960 | $59.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,062 | 859 | $47.10 |
| 3074F | 23,100 | 13,932 | $39.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12,060 | 8,673 | $29.65 |
| 3078F | 20,757 | 12,914 | $28.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,186 | 1,058 | $20.50 |
| 3079F | 7,664 | 5,271 | $13.00 | |
| 3077F | 4,101 | 2,802 | $2.00 | |
| 1126F | 9,799 | 6,978 | $2.00 | |
| 3075F | 4,590 | 3,151 | $2.00 | |
| 3080F | 2,719 | 1,854 | $2.00 | |
| 81025 | 1,658 | 1,235 | $1.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 581 | 452 | $1.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2,176 | 1,770 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,846 | 1,445 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 701 | 517 | $0.00 |
| 81002 | 2,234 | 1,395 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6,857 | 4,926 | $0.00 |
| 90461 | 2,149 | 1,375 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2,339 | 1,900 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 294 | 197 | $0.00 |
| 1159F | 669 | 459 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,309 | 1,072 | $0.00 |
| 0502F | 3,503 | 1,826 | $0.00 | |
| 1160F | 656 | 459 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 943 | 631 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 488 | 377 | $0.00 |
| 99215 | Prolong outpt/office vis | 25 | 13 | $0.00 |
| 90707 | 29 | 13 | $0.00 | |
| 99397 | 38 | 28 | $0.00 | |
| 90750 | 18 | 12 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 736 | 527 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,869 | 2,175 | $0.00 |
| 1125F | 1,980 | 1,464 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 350 | 306 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,800 | 1,383 | $0.00 |
| 99384 | 57 | 43 | $0.00 | |
| 0500F | 206 | 188 | $0.00 | |
| 85018 | 305 | 229 | $0.00 | |
| 90677 | 33 | 25 | $0.00 | |
| 90716 | 54 | 38 | $0.00 | |
| 99383 | 67 | 59 | $0.00 | |
| 99385 | 63 | 52 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 87 | 85 | $0.00 |
| 59430 | 53 | 28 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 12 | 12 | $0.00 |
| 90696 | 15 | 15 | $0.00 | |
| 90656 | 171 | 170 | $0.00 |